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DR. NATHAN FREDERICK WALTERS DMD
NPI 1265424907
Dentist - Oral and Maxillofacial Surgery in Louisville, KY

Active since August 18, 2005PECOS Enrolled
2800 CANNONS LN STE 200, LOUISVILLE, KY 40205(502) 454-4885(502) 452-1926 Get Directions Write a Review

NPPES record last updated: November 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2018, Jun 12, 2017 (2 updates tracked since 2017).

About Dr. Nathan Frederick Walters Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NATHAN FREDERICK WALTERS DMD (NPI 1265424907) is an individual oral and maxillofacial surgery provider in Louisville, Kentucky, licensed in Kentucky (8066) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (2004).

NPPES Registry Identity

NPI1265424907
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. NATHAN FREDERICK WALTERSCredential: DMD
Location Address2800 CANNONS LN STE 200Louisville, KY 40205-2164
Mailing Address2800 Cannons Ln Ste 200Louisville, KY 40205-2164 · (502) 454-4885 · Fax (502) 452-1926
Phone(502) 454-4885
Fax(502) 452-1926
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2004
Enumeration DateAugust 18, 2005
Last NPPES UpdateNovember 12, 20182 updates tracked since enumeration
✔ NPI 1265424907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in KY · 8066
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 8066 (KY)
2800 CANNONS LN STE 200, Louisville, KY 40205
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Other Identifiers 4

Other000000339061KY · Bc/bs
Medicaid200498320IN
Medicaid60002789KY
Medicaid64082688KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nathan Frederick Walters Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113988890
PECOS Enrollment IDI20041026000247
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMIE ALLEN WARREN DMD, MD
Dentist (Oral and Maxillofacial Surgery)
2800 CANNONS LN STE 200
LOUISVILLE, KY 40205
Jefferson County (502) 454-4885

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Walters's NPI number?

The NPI number for Nathan Walters is 1265424907. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Nathan Walters located?

Nathan Walters practices at 2800 Cannons Ln Ste 200, Louisville, KY 40205. The listed phone number is (502) 454-4885.

What is Nathan Walters's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Nathan Walters enrolled in Medicare?

Yes. Nathan Walters is registered in the Medicare PECOS enrollment system.

What insurance does Nathan Walters accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Nathan Walters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nathan Walters was last updated on November 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.